{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T20:38:10Z","timestamp":1792701490634,"version":"4.5.0"},"reference-count":8,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T00:00:00Z","timestamp":1792627200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T00:00:00Z","timestamp":1792627200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100015769","name":"Dexcom","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100015769","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Endocrino Diabet &amp; Metabol"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Continuous glucose monitoring (CGM) use may benefit people with diabetes and chronic kidney disease (CKD). In this propensity\u2010matched, retrospective analysis using Truveta\u2010provided de\u2010identified EMR data, changes in kidney function and glycemia were compared between cohorts starting real\u2010time CGM (RT\u2010CGM) use and CGM non\u2010users (No CGM).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Adults with type 1 or type 2 diabetes, treated with any insulin, with estimated glomerular filtration rate (eGFR) of 15\u201389\u2009mL\/min\/1.73\u2009m\n                      <jats:sup>2<\/jats:sup>\n                      were included. Changes in eGFR, albumin\u2010to\u2010creatinine ratio (ACR), and HbA1c between baseline and 3\u2010year follow\u2010up were assessed.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      RT\u2010CGM initiation (\n                      <jats:italic>N<\/jats:italic>\n                      \u2009=\u2009518 per cohort) was associated with a significantly slower decline in eGFR compared to No CGM. There was no significant difference in change in ACR between the groups (\n                      <jats:italic>N<\/jats:italic>\n                      \u2009=\u2009138 per cohort). RT\u2010CGM use (\n                      <jats:italic>N<\/jats:italic>\n                      \u2009=\u2009461 per cohort) was associated with a significantly greater decrease in HbA1c compared to No CGM.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>These findings support RT\u2010CGM initiation among people with diabetes and CKD or at risk for CKD.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/edm2.70344","type":"journal-article","created":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T19:41:22Z","timestamp":1792698082000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Real\u2010Time Continuous Glucose Monitoring Use and Kidney Function Among People With Diabetes and\n                    <scp>CKD<\/scp>\n                    or At\u2010Risk for\n                    <scp>CKD<\/scp>"],"prefix":"10.1002","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1027-4059","authenticated-orcid":false,"given":"Katia L.","family":"Hannah","sequence":"first","affiliation":[{"name":"Clinical Affairs Dexcom, Inc.  San Diego California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6786-0054","authenticated-orcid":false,"given":"Christina","family":"Chen","sequence":"additional","affiliation":[{"name":"Clinical Affairs Dexcom, Inc.  San Diego California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1179-5374","authenticated-orcid":false,"given":"Jessica R.","family":"Castle","sequence":"additional","affiliation":[{"name":"Medical Affairs Dexcom, Inc.  San Diego California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7989-9597","authenticated-orcid":false,"given":"Gregory J.","family":"Norman","sequence":"additional","affiliation":[{"name":"Clinical Affairs Dexcom, Inc.  San Diego California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9295-3225","authenticated-orcid":false,"given":"Rodolfo J.","family":"Galindo","sequence":"additional","affiliation":[{"name":"Division of Endocrinology, Diabetes and Metabolism University of Miami Miller School of Medicine  Miami Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,22]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.2337\/dci22\u20100027"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1210\/endrev\/bnaa017"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/19322968241292041"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1089\/dia.2021.0211"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1172\/JCI165654"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.dsx.2025.103283"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.34067\/KID.0000000000000396"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2021.7444"}],"container-title":["Endocrinology, Diabetes &amp; Metabolism"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/edm2.70344","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/edm2.70344","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/edm2.70344","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T19:41:23Z","timestamp":1792698083000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/edm2.70344"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,22]]},"references-count":8,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,11]]}},"alternative-id":["10.1002\/edm2.70344"],"URL":"https:\/\/doi.org\/10.1002\/edm2.70344","archive":["Portico"],"relation":{},"ISSN":["2398-9238","2398-9238"],"issn-type":[{"value":"2398-9238","type":"print"},{"value":"2398-9238","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,22]]},"assertion":[{"value":"2026-05-08","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-07","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-10-22","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70344"}}